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J Thorac Cardiovasc Surg 2003;126:2108
© 2003 The American Association for Thoracic Surgery

Letter to the editor

Reply to the Editor

Department of Surgery, University of Toronto, Toronto, Ontario, Canada

The first 20% of the full text of this article appears below.

Readers will be grateful for the informative letter from Dr Sampath Kumar, who raises two interesting themes for ethical analysis. The case that he reports shows how changes in contextual details can clarify values and illuminate moral reasoning developed from analysis of an index case, like our heart transplant patient. This approach to ethics is referred to as casuistry. In his case, the patient was not just in prison but was on death row, intensifying the apparent strength of the argument from justice to withhold treatment because of the seriousness of the crime. The treatment was an expensive valve operation, although it did not consume as scarce and as . . . [Full Text of this Article]

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Reply to the editor

Zoltán Galajda, István Szentkirályi, and Árpád Péterffy
J. Thorac. Cardiovasc. Surg. 2003 126: 2107. [Extract] [Full Text] [PDF]